Individual
RYAN P SCRIVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 328-7041
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 328-7041
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60708168
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG60708168
DEPT OF HEALTH CREDENTIAL
WA
Enumeration date
01/04/2018
Last updated
01/11/2018
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